NPIMap

Individual provider Active NPI

Tyler G Smith, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Roseville, CA
National Provider Identifier
1386650802
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
A108880 Issued in CA
Practice address
5 Medical Plaza Dr Ste 120
Roseville, CA 95661-2866
Phone
(916) 352-0016
Fax
(916) 229-0032
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X A108880 CA Primary
Orthopaedic Surgery Physician 207X00000X A108880 CA

Addresses

Primary practice location

5 Medical Plaza Dr Ste 120
Roseville, CA 95661-2866

Mailing address

5 Medical Plaza Dr Ste 120
Roseville, CA 95661-2866
Phone (916) 352-0016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090903000294 CA Practitioner - Orthopedic Surgery 6901804103 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Nevada School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians
Tyler G Smith MD a Professional CorporationGroup PAC ID 4688935109, 3 clinicians

Practice addresses (Care Compare)

16911 Willow Glen Rd
Brownsville, CA 95919-9707
Phone (530) 675-2457

470 Plumas Blvd
Suite 201
Yuba City, CA 95991-5077
Phone (530) 741-3358

5 Medical Plaza Dr
Suite 120
Roseville, CA 95661-2866
Phone (916) 352-0016

Hospital & facility affiliations

  • Iron Point Home Health Care Inc Home health agency, Folsom, CA, CCN 553167
  • Assurance Home Care Home health agency, Sacramento, CA, CCN 059635
  • Arias Home Health Home health agency, Roseville, CA, CCN 059634
  • Colusa Medical Center Home Health Home health agency, Colusa, CA, CCN 553155
  • Progressive Home Care - Auburn Home health agency, Auburn, CA, CCN 557482
  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
  • Sutter Surgical Hospital - North Valley Hospital, Yuba City, CA, CCN 050766
  • Sutter Auburn Faith Hospital Hospital, Auburn, CA, CCN 050498
  • Sutter Amador Hospital Hospital, Jackson, CA, CCN 050014
  • Marshall Medical Center Hospital, Placerville, CA, CCN 050254

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion137
Laminectomy or laminotomy (partial removal of spine bones)77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver, PC Current Accepting new patients
Alpha Omega Iom a Medical Corporation Orthopaedic Surgery of the Spine Current Accepting new patients
Stanford Health Care Current Accepting new patients
Tyler G. Smith, MD. a Professional Corporation Orthopaedic Surgery CurrentSince Feb 1, 2018 Accepting new patients
Sutter Valley Medical Foundation Orthopaedic Surgery Current Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Twin Cities Surgical Hospital LLC Past Accepting new patients

Locations

2380 E Bidwell St
Folsom, CA 95630
Phone (916) 306-1112

1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000

5 Medical Plaza Dr
Ste 120
Roseville, CA 95661
Phone (916) 352-0016

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Interoperability endpoints

  • Direct secure messaging: tsmith55044@hisp.ehr.sutterhealth.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1386650802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PLAZA DR STE 120",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612866",
            "telephone_number": "916-352-0016",
            "fax_number": "916-229-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PLAZA DR STE 120",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612866",
            "telephone_number": "916-352-0016",
            "fax_number": "916-229-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TYLER",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A108880",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A108880",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.